Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.32 / $2,054.55 / $4,846.00	Facility		$1,484.32	$2,054.55	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,731.58 / $2,054.55 / $2,382.81	Professional		$1,731.58	$2,054.55	$2,382.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,650.00 / $32,251.00 / $57,499.79	Facility		$3,650.00	$32,251.00	$57,499.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.22 / $2,206.15 / $2,978.30	Professional		$1,875.22	$2,206.15	$2,978.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,559.99 / $2,019.91 / $2,331.84	Facility		$1,559.99	$2,019.91	$2,331.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,605.87 / $1,802.15 / $2,448.42	Professional		$1,605.87	$1,802.15	$2,448.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,681.98 / $2,051.78 / $2,714.55	Professional		$1,681.98	$2,051.78	$2,714.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.69 / $1,746.37 / $3,186.41	Professional		$1,126.69	$1,746.37	$3,186.41